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1477510055
KENTON M JOHNSON
ROSEVILLE, MN
NPI
1477510055
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MN D10828)
Enumeration Date
2006-04-27
Last Update Date
2007-07-08
Business Address
Mr. KENTON M JOHNSON DDS MS
2690 SIVELLING AVE N STE 250
ROSEVILLE, MN 55113
Phone number: 651-633-1834
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Mailing Address
Mr. KENTON M JOHNSON DDS MS
PO BOX 23029
RICHFIELD, MN 55423
Phone number: 612-861-9123
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